Provider Demographics
NPI:1548968118
Name:FRIEDA M. HULKA, M.D., CHARTERED
Entity type:Organization
Organization Name:FRIEDA M. HULKA, M.D., CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRIEDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HULKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-848-3551
Mailing Address - Street 1:75 PRINGLE WAY STE 1002
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1475
Mailing Address - Country:US
Mailing Address - Phone:775-326-9106
Mailing Address - Fax:
Practice Address - Street 1:75 PRINGLE WAY STE 1002
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1475
Practice Address - Country:US
Practice Address - Phone:775-326-9106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty